iosr-JDMS   Volume-24 ~ Issue-11 ~ November 2025

Abstract: Hepatosplenic tuberculosis is a rare form of extrapulmonary tuberculosis that can present with nonspecific clinical features, making diagnosis challenging. We present a case of a middle-aged patient with progressive jaundice and constitutional symptoms, initially suspected to have a hepatobiliary malignancy. Further investigation including imaging and histopathology confirmed the diagnosis of hepatosplenic tuberculosis. The patient responded well to standard anti-tubercular therapy. This case highlights the importance of considering tuberculosis in the differential diagnosis of unexplained hepatosplenic lesions, especially in endemic regions.....

[1]. M Rolo A,1, B González-Blanco A,1, CA Reyes. Et Al. Epidemiology And Factors Associated With Extra-Pulmonary Tuberculosis In A Low-Prevalence Area. J Clin Tuberc Other Mycobact Dis. 2023 May 12;32:100377.
[2]. Chakaya J, Petersen E, Nantanda R, Et Al. The WHO Global Tuberculosis 2021 Report – Not So Good News And Turning The Tide Back To End TB. Int J Infect Dis 2022; 124:S26–9. Https://Doi.Org/10.1016/J.Ijid.2022.03.011. [DOI] [PMC Free Article] [Pubmed]
[3]. Global Tuberculosis Report 2022. Geneva: World Health Organization; 2022. Licence: CC BY-NC-SA 3.0 IGO.
[4]. Kumar V, Pandey D. Isolated Hepatosplenic Tuberculosis. Hepatobiliary Pancreat Dis Int 2008;7:328–30.
[5]. Singh D, Singh S, Raut SB, Et Al. Isolated Liver Tuberculosis: A Case Report. Ped Surgery Int 2004;20:727–8.
[6]. Reed DH, Nash AF, Valabhji P. Radiological Diagnosis And Management Of A Solitary Tuberculous Hepatic Abscess. Br J Radiol 1990;63:902–4.

Abstract: Background: Deep infiltrating endometriosis (DIE) involving the rectal wall is an uncommon manifestation that can mimic colorectal malignancy or inflammatory bowel disease. Early and accurate diagnosis is critical for guiding optimal management. Case Presentation: A 37-year-old female presented with a six-month history of pelvic pain and dysmenorrhea. Pelvic MRI revealed a hypointense lesion on T2-weighted images involving the anterior rectal wall, suspicious for deep endometriosis. Rectal.....

Key Word: Deep infiltrating endometriosis, Rectal endometriosis, Endoscopic ultrasound, Pelvic pain, Dysmenorrhea

[1]. Giudice LC. Clinical Practice. Endometriosis. N Engl J Med. 2010;362(25):2389–2398.
[2]. Koninckx PR, Meuleman C, Demeyere S, Lesaffre E, Cornillie FJ. Suggestive Evidence That Pelvic Endometriosis Is A Progressive Disease. Fertil Steril. 1991;55(4):759–765.
[3]. Chapron C, Fauconnier A, Dubuisson JB, Et Al. Deep Infiltrating Endometriosis: Relation Between Severity Of Dysmenorrhea And Extent Of Disease. Hum Reprod. 2003;18(4):760–766.
[4]. Roman H. A National Snapshot Of Bowel Endometriosis Management In France: A 1-Year Prospective Multicenter Study. Acta Obstet Gynecol Scand. 2018;97(5):536–545.
[5]. Sampson JA. Peritoneal Endometriosis Due To The Menstrual Dissemination Of Endometrial Tissue Into The Peritoneal Cavity. Am J Obstet Gynecol. 1927;14(4):422–469.

Abstract: Résumé Le lifting cervicofacial constitue la chirurgie de référence pour le rajeunissement du visage et le traitement des lipodystrophies cervico-faciales. Réalisable par différentes techniques, il donne d’excellents résultats. L’évolution est parfois marquée par la survenue de complications pouvant impacter le résultat esthétique final. Le but de ce travail est de passer en revue les complications rencontrées dans le service ainsi que leurs gestions. Il s’est agi....

[1]. Global Survey 2024: Full Report And Press Releases [Internet]. [Cité 24 Juill 2025]. Disponible Sur:
Https://Www.Isaps.Org/Discover/About-Isaps/Global-Statistics/Global-Survey-2024-Full-Report-And-Press-Releases/
[2]. Mortada H, Alkilani N, Halawani IR, Zaid WA, Alkahtani RS, Saqr H, Et Al. Evolution Of Superficial Muscular Aponeurotic System Facelift Techniques: A Comprehensive Systematic Review Of Complications And Outcomes. JPRAS Open. Mars 2024;39:166‑80.
[3]. Masson E. EM-Consulte. [Cité 26 Juill 2025]. Lifting Cervicofacial Et Autres Gestes Associés. Disponible Sur: Https://Www.Em-Consulte.Com/Article/1452014/Lifting-Cervicofacial-Et-Autres-Gestesassocies
[4]. Warren RJ, Aston SJ, Mendelson BC. Face Lift. Plast Reconstr Surg. Déc 2011;128(6):747e‑64e.
[5]. Jacono AA, Alemi AS, Russell JL. A Meta-Analysis Of Complication Rates Among Different SMAS Facelift Techniques. Aesthetic Surgery Journal. 22 Août 2019;39(9):927‑42.

Abstract: Background: Environmental changes lead to shifts in temperatures and atmospheric conditions. It is the biggest global health threat and also the greatest health opportunity of the 21st century. Lack of knowledge and practice regarding climate change among health professionals, especially in India, was the drive for this study. Materials and Methods: A cross-sectional study was conducted among medical students at Government Medical College, Saharanpur, for a period of three months. A total of 500 medical students participated in the survey. Data was collected using semi semi-structured questionnaire and analyzed using appropriate statistical tests. Results: Among 386.....

Key Word: Climate change, Global warming, Medical students, Knowledge, Perceptions

[1]. Hussain A, Moscardino U, Honarmand M, Ronfani L, Woldeamanuel Y, Dossa NI, Et Al. Exploring Medical Students’ Perceptions And Understanding Of The Health Impacts Of Climate Change: A Qualitative Content Analysis. BMC Med Educ. 2023;23(1):774. Doi:10.1186/S12909-023-04769-1.
[2]. World Health Organization. Climate Change And Health. WHO Fact Sheet. 2021. Available From: Https://Www.Who.Int/News-Room/Fact-Sheets/Detail/Climate-Change-And-Health
[3]. Harshal RS, Priyanka M, Akash R, Syed AM, Murali P, Vijaya K. Knowledge, Perceptions And Practices Of Medical Students Towards Climate Change And Global Warming: A Cross-Sectional Study. J Family Med Prim Care. 2022;11(9):4936-42. Doi:10.4103/Jfmpc.Jfmpc_2043_21. PMID: 36119165.
[4]. Noori AM, Shirzad A, Wafa F, Aria MM, Khpalwak S, Yousofi A. Assessing The Knowledge, Attitudes, And Practices Of Medical Students Towards Climate Change And Global Warming In Private Universities Of Jalalabad, Afghanistan. Nangarhar Univ Int J Biosci. 2024;3(1):30-6.
[5]. Yasir A, Khalid A, Waseem A, Rasheed M, Rana HA, Tahir F, Et Al. Insight Into The Environmental Health Consciousness Of Medical Students Regarding The Perceived Impacts Of Climate Change On Human Health. SAGE Open Med. 2024; 12: 20503121241310031. Doi:10.1177/20503121241310031

Abstract: Facial nerve schwannomas are rare, benign nerve sheath tumors originating from Schwann cells, comprising less than 1% of all temporal bone tumors. Their slow growth and nonspecific symptoms often result in delayed or incorrect diagnosis, with common initial presentations including hearing loss and ear fullness, frequently misattributed to middle ear pathology. They have distinct histopathological variants, each with unique morphological....

Keywords: Facial nerve, Schwannoma, Nerve sheath tumor, Intratemporal tumor, Verrocay body

[1]. Gao Y, Shi Z, Wang C, Yu Z. “Facial Nerve Schwannoma Mimicking Chronic Suppurative Otitis Media: A Case Report”. Medicine (Baltimore). 2019 Aug;98(35):E16844.
[2]. Kilmpasanis A, Tsetsos N, Poutoglidis A, Tsentemeidou A, Sotiroudi S, Garefis K, Forozidou E, Vlachtsis K. “Schwannoma Of The Zygomatic Branch Of The Facial Nerve”. Ear Nose Throat J. 2024 Mar;103(3):145-147.
[3]. Vrinceanu D, Dumitru M, Popa-Cherecheanu M, Marinescu AN, Patrascu OM, Bobirca F. “Extracranial Facial Nerve Schwannoma-Histological Surprise Or Therapeutic Planning?” Medicina (Kaunas). 2023 Jun 17;59(6):1167.
[4]. ”WHO Classification Of Tumors Editorial Board.Soft Tissue And Bone Tumors.5th Ed.”;Vol.3,Lyon:International Agency For Research On Cancer(IARC);2020:Pg 226-231.
[5]. Libell JL, Balar AB, Libell DP, Joseph JT, Hogg JP, Lakhani DA, Khan M. “Facial Nerve Schwannoma: Case Report And Brief Review Of The Literature”. Radiol Case Rep. 2023 Jul 22;18(10):3442-3447.

Abstract: Introduction: Laser (an acronym that means light amplification by stimulated emission of radiation) is a device that produces light beam that is monochromatic, coherent and focused, and which consists of a pure color that is usually invisible but converted into thermal energy can provide different therapeutic effect. The speed and efficiency of laser procedures are defined by the laser parameters, the surface area of the target and the speed with which the operator moves the hand of the camera, and therefore the laser beam (laser to conduct blow) on the surface of the target tissue....

Keywords :laser, apicotomy, cracks, damage of the resected root surface

[1]. Camaro C,Selma C.In Vitro Evaluation Of Er:YAG Laser Irradiation In Apicoectomy And Retrofilling Cavity Preparation Compared To Two Other Techniques.Lasers In Dentistry,1988,P.196-205
[2]. De Moura AA.Et All.Morphological Assessment Of Dentine And Cementum Following Apicectomy With Zekrya Burs And Er:Yag Laser Associated With Direct And Indirect Nd:Yag Laser Irradiation.Oral Surg Oralmed Oral Pathol Oral Radiol Endod, 2010 Apr;109(4):E77-82.
[3]. Fildishevski A.Primena Na Er Yag Laser Vo Endodontska Terapija Na Trajni Zabi So Gangrenozno Raspadnata Pulpa,Magisterski Trud,Skopje 2007
[4]. Gouw-Soares S,Stabholz A,Lage-Marques JL,Zezell DM,Groth EB,Eduardo CP.Comparative Study Of Dentin Permeability After Apicoectomy And Surface Treatment With 9,6 Micro TRA CO2 And Er:YAG Laser Irradiation.J Clin. Laser Med Surg,2004 Apr;22(2):129-39
[5]. Grgurevic J.In Vitro Study Of The Variable Square Pulse Er:Yag Laser Cutting Efficacy For Laser Apicectomy. Lasers Surg Med. 2005 Jun;36(5):347-50

Abstract: A 60 year old male presented with a progressive painless swelling in the left cervical region, he had a past history of Right Renal cell carcinoma given as? Clear cell /? Papillary variant on core biopsy, FNAC from the cervical swelling confirmed metastatic renal cell carcinoma deposits. Further follow up patient revealed that no treatment done after the diagnosis of metastatic disease, got bed ridden and eventually died.
A solitary cervical metastatic.....

Keywords: Renal cell carcinoma (RCC), Metastasis, Cervical lymphnode

[1]. Mahmut Ozkiris, Utku Kubilay And Ozan Seymen Sezen. Cervical Lymph Node Metastasis In Renal Cell Carcinoma (Pubmed) Linehan WM, Shipley WU, Parkinson DR. Cancer Of The Kidney And Ureter. In: De Vita V, Hellman S, Rosenberg SA, Editors. Cancer. Principles And Practice Of Oncology. Vol. 1. Philedelphia: Lippincott-Raven; 1997. Pp. 1271–84. [Google Scholar]
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Abstract: Lymphangiomas, typically congenital malformations of lymphatic vessels, are more common in children and rarely seen in adults. In this case, 51-year-old female presented with a chief complaint of right facial pain for three months. She had a history of trauma at one month of age and tuberculosis 15 years ago, for which she completed medication. Clinical examination revealed an asymptomatic, diffuse swelling on the left side of the face extending to the posterior triangle of the neck. Intraorally, the tongue appeared enlarged with multiple red, blue, and grey pebbles....

Keywords: Adult, Calcification, Lymphangioma

[1]. Basurto-Kuba EO, Hurtado-Lopez LM, Campos-Castillo C, Garcia-Figueroa RB, Figueroa-Tentori D, Pulido-Cejudo A. Cervical Lymphangioma In The Adult. A Report Of 2 Cases. Cirugía Y Cirujanos (English Edition). 2016 Jul 1;84(4):313-7.
[2]. Berri T, Azizi S. Large Cystic Lymphangioma Of The Parotid Gland In The Adult. Egyptian Journal Of Ear, Nose, Throat And Allied Sciences. 2014 Nov 1;15(3):259-61.
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[5]. Lad AP, Batra P, Shetty I, Rege I, Batra G, Tulsian AR, Thakkar SM. A Rare Case Of Cavernous Hemangioma Of Neck Mimicking Lipoma. International Surgery Journal. 2017 Jan 25;4(2):797-9.

Abstract: Background: To assesses the usefulness of a preoperative HRCT temporal bone and establish HRCT as an efficacious tool for diagnosis of the extent and involvement of adjacent structures by Cholesteatoma. Materials and Methods: The study group includes 52 patients with Unsafe CSOM (atticoantral), who presented to the ENT OPD at a tertiary care in Eastern India over a period of 18 months, who underwent HRCT temporal bone followed by surgical exploration of middle ear and or mastoid, for the removal of Cholesteatoma. Results: From the observation....

Keywords: CSOM unsafe · Attico-antral disease ·HRCT temporal bone · Preoperative · Surgical findings

[1]. Bluestone CD, Gates GA, Klein JO Et Al (2002) Panel Reports: 1. Definitions, Terminology, And Classification Of Otitis Media. Ann Otol Rhinol Laryngol 111(Suppl):8–18
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Abstract: Background: Adenoid hypertrophy (AH), also known as enlarged adenoid, refers to the unusual growth of the adenoids. AH and its consequences are common in the entire childhood period. The adenoids are small masses of lymphatic tissue located in the upper airway, between the nose and the back of the throat. Materials and Methods: This cross-sectional study was conducted from November 2023 to November 2024 over a period of 12 months....

Keywords:Adenoid hypertrophy; Sleep apnea; Snoring; Nasal obstruction

[1]. Yan Y, Song Y, Liu Y, Su J, Cui L, Wang J Et Al. Early-Stage Impacts Of Adenoidectomy With/Without Tonsillectomy On Immune Functions Of Children Aged Less Than Three Years. Pediat Aller Imm Pul. 2019;32(1):18-22.
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Abstract: A preoperative ultrasound-guided fine-needle aspiration cytology (USG-FNAC) from the suspicious portion has a strong correlation with postoperative biopsy (histopathology), but some discrepancies can occur. Postoperative histopathology is considered the gold standard for diagnosis and is often used to validate the accuracy of FNAC......

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Abstract: Trigeminal neuralgia (TN) is a condition that causes severe neuropathic pain, impairing quality of life. Most cases are caused by compression of the trigeminal nerve, resulting in demyelination. The annual incidence is 4 to 13 cases per 100,000 people, making it a rare disease. Hashimoto's thyroiditis and Hashimoto's encephalopathy...

Keywords: Trigeminal neuralgia, Botulinum toxin, Hashimoto's thyroiditis, and Hashimoto's encephalopathy.

[1]. Anwar, H.A.; Ramya Krishna, M.; Sadiq, S.; Ramesh Kumar, R.; Venkatarathnam, V.; Saikiran, G. A Study To Evaluate Neurovascular Conflict Of Trigeminal Nerve In Trigeminal Neuralgia Patients With The Help Of 1.5 T MR Imaging. Egypt. J. Radiol. Nucl. Med. 2022, 53, 66. [Crossref]
[2]. Liu, Y.; Tanaka, E. Pathogenesis, Diagnosis, And Management Of Trigeminal Neuralgia: A Narrative Review. J. Clin. Med. 2025, 14, 528. Https://Doi.Org/ 10.3390/Jcm14020528
[3]. Maarbjerg S, Di Stefano G, Bendtsen L, Cruccu G. Trigeminal Neuralgia—Diagnosis And Treatment. Headache. June De 2017; 37 (7):648-657. [ Pubmed ]
[4]. Shankar Kikkeri N, Nagalli S. Trigeminal Neuralgia. [Updated March 3, 2024]. In: Statpearls [Internet]. Treasure Island (FL): Statpearls Publishing; Jan. 2025. Available From: Https://Www.Ncbi.Nlm.Nih.Gov/Books/NBK554486/
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